Orzaiolo Flashcards
definizione
acute inflammation of the tear gland or eyelash follicles (Zeis or meibomian glands)
◽External hordeolum: inflammation of Moll’s or the Zeis gland at the lid margin
◽Internal hordeolum: inflammation of the meibomian gland; usually visible at the palpebral conjunctiva (less common)
Eziologia
S.Aureus
Clinica
Painful, erythematous, tender pus-filled nodule
Spontaneous perforation and purulent discharge after a few days
diagnosi
clinica
Trattamento
Most styes are self-limiting and resolve spontaneously after 1–2 weeks.
- Warm compress and massage
- Eyelid margin hygiene
-Topical antibiotic treatment, e.g., gentamicin, amoxicillin, erythromycin
In the case of non-response to medical therapy or severe symptoms: incision and curettage, with systemic antibiotics (e.g., cephalexin)
Complications
-May present as a chalazion over a few months
-Abscess of the eyelid and orbital cellulitis are rare.
Intera stye (hordeolum)